Stacey Root, PA-C, ATC
NPI #1518358894 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1518358894
- Entity Type
- Individual
- Name
- Stacey Root, PA-C, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C, ATC
- Enumeration Date
- Feb 9, 2015
- Last Updated
- Mar 11, 2024
Practice Location
- Address
- 40601 N GANTZEL RD STE 103
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85140-7036
- Phone
- (602) 648-5444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Physician Assistant - Surgical — Surgical |
| Physician Assistant |
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